New Client Form "*" indicates required fields Happy Hounds Boarding 1668 Rhea County Highway Dayton, TN 37321 Phone: (423) 775-6880 New Client Form Thank you for giving us the opportunity to care for your pet (s). In order to maintain accurate records we ask that you complete all of the following information.Owner's Name* First Last Address Street Address City State / Province / Region ZIP / Postal Code PhoneCell PhoneEmail I am aware that Happy Hounds Boarding requires payment at the time of service. It is NOT our policy to extend credit. If payment is not made and the account is turned over to our collection agency I agree to pay a 35% collection fee and reasonable attorney fees. Please indicate choice of payment: Cash Credit Credit/Debit I understand Happy Hounds Boarding is not a 24 hour emergency facility, therefore, referrals to local emergency centers may be recommended if overnight or more intensive care is needed. Signature*Pet’s NamePet 1Pet 2Pet 3 Add RemoveSpeciesPet 1Pet 2Pet 3 Add RemoveBreedPet 1Pet 2Pet 3 Add RemoveDate of BirthPet 1Pet 2Pet 3 Add RemoveColorPet 1Pet 2Pet 3 Add RemoveSexPet 1Pet 2Pet 3 Add RemoveSpayed or NeuteredPet 1Pet 2Pet 3 Add RemoveCurrent WeightPet 1Pet 2Pet 3 Add RemovePrevious Vaccine reaction?Pet 1Pet 2Pet 3 Add RemoveDate of last Rabies Vaccination?Pet 1Pet 2Pet 3 Add RemoveDate of last DHPP (dogs) or FVRCP (cats)?Pet 1Pet 2Pet 3 Add RemoveDate of last Kennel Cough vaccine (dogs)?Pet 1Pet 2Pet 3 Add RemoveDate and type of any other known Vaccines (FeLV, Leptospirosis, Canine influenza, etc)?Pet 1Pet 2Pet 3 Add RemoveCurrent illness or known chronic conditions ?Pet 1Pet 2Pet 3 Add RemovePrevious serious illness or surgeries ?Pet 1Pet 2Pet 3 Add RemoveCurrent MedicationsPet 1Pet 2Pet 3 Add RemoveVaccination Policy Happy Hounds Boarding highly recommends core and required vaccinations to protect your pet from deadly diseases common in our area. Certain vaccinations are annual and others are every 2-3 years. These vaccinations will be tailored for each pet and their needs. Please discuss with your Veterinarian which of these vaccinations is appropriate for your pet. I understand vaccine reactions can occur but are rare. The benefits of vaccination outweigh the risks in majority of pets and most reactions are minor such as facial swelling and hives. These reactions should be reported in order to limit reactions in the future. I understand South Rhea Animal Hospital provides only safe and effective vaccinations that are species specific and stored appropriately. I also understand that qualified Veterinarians give appropriate “doses” of vaccines as recommended by the manufacturer. I consent/ do NOT consent to the Veterinarians at South Rhea Animal Hospital to vaccinate my pets and accept the potential risk of a vaccine reaction.I consent/ do NOT consent to the Veterinarians at South Rhea Animal Hospital to vaccinate my pets and accept the potential risk of a vaccine reaction. Consent Do NOT Consent I understand that Rabies vaccination is required by state law for all pets and must be kept current. I also understand that Tennessee State law requires a 1 year rabies booster before starting a 3 year protocol. I will provide Rabies vaccination proof and If I cannot provide proof Happy Hounds Boarding will require a Rabies vaccination at my pet’s visit unless my pet has an illness, disease, or other special circumstance that would potentially make vaccinating risky. This protects Happy Hounds Boarding's employees, myself, and the public from a fatal disease that can be carried by Bats, skunks, foxes, raccoons, and coyotes. Signature*Date MM slash DD slash YYYY Close Font Resize A- A+ Keyboard navigation Readable Font Contrast Choose color black white green blue red orange yellow navi Underline links Clear cookies Images Greyscale Invert Colors Remove Animations Remove styles Close Accessibility by WAH About Us Appointments Boarding Client Form Client Gallery Contact Grooming Home New Client Form Rates Staff Terms of Use Thank You What Can We Improve
